用于大型缺血性室间隔缺损和难治性室性心律失常的ECPELLA心脏移植过渡装置
ECPELLA bridge to heart transplantation for a large ischemic ventricular septal defect and refractory ventricular arrhythmias.
作者信息
Frenkel Max, Fajardo Romulo, Dollerschell John, Baber Aurangzeb, Hermsen Joshua, Xia Yu
机构信息
Medical Scientist Training Program, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.
出版信息
JHLT Open. 2025 Jun 2;9:100288. doi: 10.1016/j.jhlto.2025.100288. eCollection 2025 Aug.
Post-myocardial infarction (MI) ventricular septal defects (VSDs) are rare but life-threatening. Temporary mechanical support options range from intra-aortic balloon pumps (IABPs) to venoarterial extracorporeal membrane oxygenation (VA-ECMO). There are few anecdotes of the Impella as a bridge to repair. We present a case of post-MI VSD and cardiogenic shock requiring combined Impella 5.5 and VA-ECMO (ECPELLA) as a bridge to transplant.
心肌梗死后室间隔缺损（VSD）虽罕见但危及生命。临时机械支持手段从主动脉内球囊泵（IABP）到静脉-动脉体外膜肺氧合（VA-ECMO）不等。关于使用Impella作为修复桥梁的报道很少。我们报告一例心肌梗死后室间隔缺损合并心源性休克的病例，该病例需要联合使用Impella 5.5和VA-ECMO（ECPELLA）作为移植桥梁。
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